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Nuptial psychosis and Tunisian culture: A case report

Published online by Cambridge University Press:  13 August 2021

E. Mhiri*
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
F. Charfeddine
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
N. Messedi
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
A. Chamseddine
Affiliation:
Psychiatry, Hedi Chaker University hospital, sfax, Tunisia
W. Bouattour
Affiliation:
Psychiatry, Hedi Chaker University hospital, sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

In Tunisia, traditions of marriage are still preserved by certain regions of the country : the taboo of sexuality and the requirement of the preservation of virginity until marriage mark the Tunisian mentality till this day.

Objectives

To discuss the impact of the Tunisian culture related to marriage on the precipitation of psychotic disorders in the bride.

Methods

A case report and a review of litterature via PubMed using the terms : « nuptial, psychosis, bride».

Results

A 31-year-old woman With no personal desease, developped a mutism, refusal of food and heteroagressiveness since the day after the wedding. The wedding party went well and it was consumed on the first night without any real incidents, yet, Ms. H was very anxious about the loss of her virginity and especially because of the low bleeding she had. The day after the wedding day, the bride was especially worried because of the presence of her family waiting in front of the bedroom to see the the blood-stained sheet : proof of the virginity of their daughter and the virility of the husband. In fact, incertain of the reaction of the family, the patient left her house early without informing her husband and was found by the police. Later, she developped an incoherent speech, audio-visual hallucinations and delusions against those around her.

Conclusions

In Tunisia, despite the progress made in terms of equality betwen men and women, women’s sexuality still suffer from certain taboos. Sexual education needs to be improved among young people to avoid subsequent sexual problems.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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